Healthcare Provider Details

I. General information

NPI: 1871689273
Provider Name (Legal Business Name): NANCY LOUISE FISHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

676 WOODLAND SQ LOOP SE MS 42701
OLYMPIA WA
98504-2701
US

IV. Provider business mailing address

PO BOX 1719
MERCER ISLAND WA
98040-1719
US

V. Phone/Fax

Practice location:
  • Phone: 360-923-2709
  • Fax: 360-923-2766
Mailing address:
  • Phone: 206-275-1927
  • Fax: 206-275-1928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number252 09 0016821
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number252 9 0016821
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: